Brian Decker is a Pharmacist in Glenmont, New York. Brian Decker practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Brian Decker is 1104008648. The last update date is 2007-11-27.
Brian Decker's current location address is 311 Route 9w, Glenmont, New York. You can contact this provider via phone number 5184321747 and fax number 5184327225. The mailing address for Brian Decker is 311 Route 9w, Glenmont, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Decker |
|---|---|
| Address | 311 Route 9w, Glenmont, New York |
| Phone Number | 5184321747 |
| Fax Number | 5184327225 |
| Sole Proprietor | Y |
| Credentials | PHARM D |
NPI Number Detail
| NPI Number | 1104008648 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | 311 Route 9w |
|---|---|
| City | Glenmont |
| State | New York (NY) |
| Post Code | 120772909 |
| Phone Number | 5184321747 |
| Fax Number | 5184327225 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 49698 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2522654 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brian Decker?
The Brian Decker has been issued the NPI (National Provider Identifier) 1104008648 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brian Decker's facilities are geographically located?
The facilities of Brian Decker are physically situated at the following location: 311 Route 9W, Glenmont, NY, 120772909.
What is the area of specialization for Brian Decker, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brian Decker is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Brian Decker receive its 1104008648 assignment from the Centers for Medicare & Medicaid Services?
The Brian Decker was assigned its 1104008648 by the Centers for Medicare & Medicaid Services on 2007-11-27.
As of what date was the information pertaining to Brian Decker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brian Decker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-27.